强度和耐力训练在患有喘的成年人身上的影响:一项随机对照试验
Giuseppe Lo Bello1, Federico Mattia Oliva2, Alberto Malovini3
1. Division of Pulmonary Rehabilitation, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy.
在喘肺部康复中添加力量训练并没有改善生活质量. 虽然它增强了肌肉力量,但喘生活质量问卷得分在两组之间是相似的,这表明喘患者没有额外的益处.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统健康 呼吸系统健康
- 运动生理学 运动生理学
背景情况:
- 肺部康复,包括耐力训练,用于慢性呼吸系统疾病.
- 它在喘管理中的作用,特别是力量训练,不太了解.
- 现有的喘研究主要集中在耐力方面,在力量训练数据中留下了一个空白.
研究的目的:
- 评估在喘患者的耐力训练和教育中添加力量训练的影响.
- 评估中度至重度喘患者对生活质量的影响.
主要方法:
- 一个单中心,并行组随机对照试验.
- 患有中度至重度喘的成年人接受了力量训练加持久训练和教育 (研究组),或假运动加持久训练和教育 (对照组).
- 主要结局:喘生活质量问卷 (AQLQ) 评分从入院到出院的变化.
主要成果:
- 两组都在AQLQ分数上表现出显著的改善,两组之间没有显著差异.
- 周围肌肉力量,特别是四头肌力量,仅在接受力量训练的研究组中显著改善.
- 61名参与者被随机分配 (31个研究组,30个对照组).
结论:
- 将力量训练纳入喘肺部康复治疗似乎并没有进一步提高生活质量.
- 力量训练确实导致了喘患者外周肌肉强度的显著改善.
- 进一步的研究可能会探索力量训练在喘康复中的最佳整合.
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